NPI | 1083279087 |
---|---|
Doing Business As | PAYETTE DENTAL |
Entity Type | Organization |
Authorized Contact | DENNIS GARPETTI Dentist 208-377-2160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-05-06 |
Last Update Date | 2019-05-06 |